Individual provider · Type 1 NPI

Victoria Charleston, LCAC

Addiction (Substance Use Disorder) Counselor · Gary, IN

NPI number 1366855462 Active

Practice location

1110 W 5th Ave
Gary, IN 46402-1723

Fax (219) 239-2944

Mailing address

5077 Adams St
Gary, IN 46408-4628

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X87001015A (IN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366855462

Victoria Charleston, LCAC's National Provider Identifier is 1366855462, issued on Jun 5, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gary, IN. The record was last updated on Jun 5, 2014.